This project designed a therapeutic retreat for cancer patients aged 20-60 within Brown County State Park in Indiana. The master plan focused on meeting four goals: providing access to nature, community/support, meeting physical/psychological needs, and connecting to the site. The southern eight acres around the lodge were designed in more detail, with three focus areas for the community, nature exposure, and therapy. Native plants were selected to provide sensory stimulation and guide patients through wayfinding.
This document contains two summaries of presentations on psycho-oncology and the role of family in cancer treatment:
1. The first presentation discusses a "Family Lounge" at a radiotherapy department where patients, families, and staff meet weekly for 45 minutes. This community meeting serves as emotional support for coping with crisis, and models open communication. It reveals family dynamics and allows caregivers to seek care.
2. The second presentation studied the effects of weekly psychotherapy on emotional and physical symptoms in patients undergoing radiotherapy. Patients receiving psychotherapy experienced reduced distress, anxiety, depression, and improved compliance compared to the control group. Psychotherapy may decrease symptoms associated with radiotherapy.
This document discusses IT best practices for law firms related to compliance. It begins with an introduction to a panel discussion on benchmarking firms' IT practices against compliance standards. The document then covers topics like data retention policies, IT management perspectives, the role of IT professionals, and unique compliance policies for different businesses. Key recommendations include automating security measures, reviewing logs daily, maintaining technology, and including IT in management meetings. The panel discussions provide examples of best practices around password security, employee monitoring, vendor management, and security checks. Overall, the document stresses the importance of IT compliance and managing related costs.
Brian S. Stalcup is seeking an analyst position where he can utilize his education and 20 years of experience in financial analysis, reporting, and project management. He has extensive experience generating reports in Excel and other programs, managing margin accounts, confirming trades and payments, and preparing cash flow reports. Stalcup also has experience creating schedules, forecasting call volumes, and monitoring phone queues as well as experience in mortgage underwriting, loan processing, and post-closing auditing. He has a B.A. and M.B.A. in Business Administration and is proficient in Microsoft Office, Hyperion, and other financial reporting tools.
NARCA 2013 COMPLYING WITH ELECTRONIC BANKING POWERPOINTBrenda Majewski
This document summarizes a panel discussion on complying with electronic banking standards for law firms. The panelists discussed key concepts like the ACH, EFTs, and regulations like Regulation E. They emphasized the importance of having proper policies and procedures in place and being familiar with rules regarding client funds, electronic payments, notices and authorizations. Failure to comply could result in contractual or legal issues. The panel provided best practices around issues like check by phone authorizations, recurring payments, handling returned items and hold requests. Resources for further information were also shared.
The document discusses the writer researching the archives of Writers Victoria as they celebrate their 25th anniversary. Some key details:
- The writer has been going through the archive materials from over the past 25 years, including newsletters, photos, and newspaper articles.
- The archives show how Writers Victoria has helped writers through workshops, seminars, and resources over the years, and also show the changes in technology like early computers and the introduction of the internet.
- The generosity of members and community support over the 25 years is evident from donations, discounts, and an extensive list of current supporters.
- Browsing the archives has helped the writer remember past competitions and connections to other writers from years ago.
This document summarizes a panel discussion and roundtable at an operational best practices workshop for collection law firms. The panelists, who represented small, mid-size, and large collection law firms, discussed their best practices in areas such as hiring and training collectors, use of communication methods, cash posting and payments, handling online complaints, distinguishing complaint types, maintaining security, expanding offices, training staff, setting key performance indicators, exceeding compliance requirements, auditing calls and vendors, and documenting procedures. The panel provided insights and recommendations for collection firms to improve operations and compliance.
This transcript summarizes Sterling Satterfield's academic history, including his undergraduate and graduate studies. As an undergraduate, he earned dual Bachelor of Science degrees in Mechanical Engineering and Mathematics in 2011, graduating summa cum laude. He then went on to obtain a Master of Business Administration degree in Management in 2016 from the same institution. The transcript provides details on the courses taken each semester and grades received.
This short document contains photo credits for 4 photos taken by different photographers - Jack Amick, Axion23, Falcon_33 and again Axion23. It concludes by encouraging the reader to create their own presentation on SlideShare.
This document contains two summaries of presentations on psycho-oncology and the role of family in cancer treatment:
1. The first presentation discusses a "Family Lounge" at a radiotherapy department where patients, families, and staff meet weekly for 45 minutes. This community meeting serves as emotional support for coping with crisis, and models open communication. It reveals family dynamics and allows caregivers to seek care.
2. The second presentation studied the effects of weekly psychotherapy on emotional and physical symptoms in patients undergoing radiotherapy. Patients receiving psychotherapy experienced reduced distress, anxiety, depression, and improved compliance compared to the control group. Psychotherapy may decrease symptoms associated with radiotherapy.
This document discusses IT best practices for law firms related to compliance. It begins with an introduction to a panel discussion on benchmarking firms' IT practices against compliance standards. The document then covers topics like data retention policies, IT management perspectives, the role of IT professionals, and unique compliance policies for different businesses. Key recommendations include automating security measures, reviewing logs daily, maintaining technology, and including IT in management meetings. The panel discussions provide examples of best practices around password security, employee monitoring, vendor management, and security checks. Overall, the document stresses the importance of IT compliance and managing related costs.
Brian S. Stalcup is seeking an analyst position where he can utilize his education and 20 years of experience in financial analysis, reporting, and project management. He has extensive experience generating reports in Excel and other programs, managing margin accounts, confirming trades and payments, and preparing cash flow reports. Stalcup also has experience creating schedules, forecasting call volumes, and monitoring phone queues as well as experience in mortgage underwriting, loan processing, and post-closing auditing. He has a B.A. and M.B.A. in Business Administration and is proficient in Microsoft Office, Hyperion, and other financial reporting tools.
NARCA 2013 COMPLYING WITH ELECTRONIC BANKING POWERPOINTBrenda Majewski
This document summarizes a panel discussion on complying with electronic banking standards for law firms. The panelists discussed key concepts like the ACH, EFTs, and regulations like Regulation E. They emphasized the importance of having proper policies and procedures in place and being familiar with rules regarding client funds, electronic payments, notices and authorizations. Failure to comply could result in contractual or legal issues. The panel provided best practices around issues like check by phone authorizations, recurring payments, handling returned items and hold requests. Resources for further information were also shared.
The document discusses the writer researching the archives of Writers Victoria as they celebrate their 25th anniversary. Some key details:
- The writer has been going through the archive materials from over the past 25 years, including newsletters, photos, and newspaper articles.
- The archives show how Writers Victoria has helped writers through workshops, seminars, and resources over the years, and also show the changes in technology like early computers and the introduction of the internet.
- The generosity of members and community support over the 25 years is evident from donations, discounts, and an extensive list of current supporters.
- Browsing the archives has helped the writer remember past competitions and connections to other writers from years ago.
This document summarizes a panel discussion and roundtable at an operational best practices workshop for collection law firms. The panelists, who represented small, mid-size, and large collection law firms, discussed their best practices in areas such as hiring and training collectors, use of communication methods, cash posting and payments, handling online complaints, distinguishing complaint types, maintaining security, expanding offices, training staff, setting key performance indicators, exceeding compliance requirements, auditing calls and vendors, and documenting procedures. The panel provided insights and recommendations for collection firms to improve operations and compliance.
This transcript summarizes Sterling Satterfield's academic history, including his undergraduate and graduate studies. As an undergraduate, he earned dual Bachelor of Science degrees in Mechanical Engineering and Mathematics in 2011, graduating summa cum laude. He then went on to obtain a Master of Business Administration degree in Management in 2016 from the same institution. The transcript provides details on the courses taken each semester and grades received.
This short document contains photo credits for 4 photos taken by different photographers - Jack Amick, Axion23, Falcon_33 and again Axion23. It concludes by encouraging the reader to create their own presentation on SlideShare.
The document provides a media plan for interpretive signs and materials at the USGS Upper Midwest Environmental Sciences Center. It includes a planning triangle outlining the mission, audience, and resources. There are conceptual designs for trail signs covering the sand prairie, savanna prairie, oak savanna, floodplain forest, and outdoor classroom. The designs aim to educate visitors on the importance of these ecosystems and their relationship to human and animal life.
Communicating risks and benefits an evidence based user's guideDr Lendy Spires
This document provides acknowledgements for contributors to the guide "Communicating Risks and Benefits: An Evidence-Based User’s Guide". It thanks Nancy Ostrove and Lee Zwanziger from the FDA for their support in developing the guide. It also thanks Nancy Derr, Elena Ketelhut and the guide's authors and reviewers for their work. Permission is acknowledged from various publishers to reuse figures. The guide aims to make the risk communication research literature more accessible and applicable to practitioners.
Application Access to Quality Health Care for Vulnerable Population.docxhirstcruz
Application: Access to Quality Health Care for Vulnerable Populations
Access to quality health care for disparate populations is a critical challenge for today's health care organizations and for the health care system as a whole. In this Application Assignment, you will describe the advantages and challenges facing the health care system in providing equal access to quality health care.
To prepare
for this Application Assignment, consider how health care is delivered to populations who are sometimes affected by the
Healthy People assigned focus area
you were previously assigned.
To complete
this Application Assignment,
write a
2- to 3-page paper
(essay style) that addresses the following:
What two obstacles confront vulnerable/underserved populations when they attempt to obtain quality health care
Healthy People assigned focus area
(e.g., a prevention program, screening program, diagnosis, treatment, and rehabilitation)? Be specific.
Name and describe
two
intervention programs that have addressed these obstacles (e.g., prevention, screening, diagnosis, treatment, and rehabilitation). You can find examples of these on the internet or by searching the library databases (CINAHL). Try searching with your Healthy People area (i.e. obestiy; heart disease) as a key term as well as the word "intervention" or "program"). You may also try looking at professional organizations that address that health issue. For example, the American Diabetes Association sponsors a program called "Project Power" which addresses diabetes type 2 among African Americans—specifically for church settings.
In your paper, summarize the programs by including the following:
The name of the program
The type of program (hospital based; for churches; online program, etc.)
Who has implemented the program (researchers, professional group, university, state, etc.) and where was it implemented:
For example, training programs are sometimes offered by commercial businesses and programs or activities are sometimes sponsored by federal government or professional organizations.
The types of services the program provides
How the program has addressed disparities
The achievements of the program
Does it address the issue of culture? How so?
Is there any evidence that it has been successful?
Your written assignments must follow APA guidelines (6th edition). Be sure to support your work with specific citations from this week's Learning Resources and additional scholarly sources as appropriate. Refer to the
Essential Guide to APA Style for Walden Students
to ensure that your in-text citations and reference list are correct. Also, since this is one of your only applications, you may want to submit this to a Walden Writing Center tutor first as well as run it through Turnitin.com prior to submission.
Learning Resources
Required Resources
Media
Video:
Laureate Education, Inc. (Executive Producer). (2009).
Behavioral and cultural issues in health care:
Health care disparities.
Baltimo.
Running Head ENVIRONMENTAL HEALTH1ENVIRONMENTAL HEALTH8.docxtodd271
Running Head: ENVIRONMENTAL HEALTH 1
ENVIRONMENTAL HEALTH 8
Environmental Health
Student Name: Kusum Syangbo
Instructor Name: Elizabeth Wachira
Course no: HHPH- 382-01W
Date: April 5, 2020
Texas A&M University, Commerce
Abstract
Environmental health is both a public health and social justice issue. This paper will describe how environmental health is both a public health and social injustice issue and some of the environmental injustices in the United States. It will also explain the functions of environmental health movements in the US. Finally, the paper will describe some of the intervention opportunities in curbing environmental injustices including health education, advocacy, policy, leadership opportunities, and community focus and give my future leadership role as far as environmental health is concerned.
Keywords
Environmental health, public health, social injustice, minority groups
Section 1: Topic Description
The topic that I chose is Environmental Health. This topic is a public health issue because the environment in which we live in shapes our health every moment of every day. Our health can be affected by what we eat, where we live, and how we interact with the world around us. That is where environmental health professionals, programs and policies, all come into play. Environmental health is a large field in public health because of the numerous ways exterior factors can impact how we live, grow and, even eat. These factors concern how we address our natural environment like sanitation and clean water, but they are also the consequences of our actions as human beings (Krometis et al, 2017).
Environmental Health is also a social justice issue because all the conversations about protecting habitats, mitigating climate change and recycling are not just about saving and protecting the earth, they are more about the struggle for protecting and providing basic human rights to good health. Every human being is entitled to quality air, clean water, and sanitation (Marmot, 2017).
Section 2: Social Injustice
Two Environmental Social Injustices
One major environmental social injustice is the disproportional placing of dangerous waste amenities in poor and largely ethnic and racial minority localities. Research shows that there are ethnic and racial discrepancies in the locations of dangerous waste across the United States. As a result of these injustices people living in such an environment have developed diseases like cancer.
Another social injustice is the environmental influence on healthy eating, physical activity, and obesity in ethnic and racial minority communities with low income. The principal concern here is the deprivation amplification such that in locations where have little individual resources, the local amenities that help people to live healthily, are poorer than those in non-socially and non-impoverished deprived places. Research has shown that t.
This study explored community site administrators' perspectives on pediatric resident training at their centers. Administrators from 16 community sites responded to a survey. They consistently indicated that resident rotations increased awareness of the services their sites provide. Administrators and families also benefited from the exchange of medical knowledge with residents. However, complex scheduling presented organizational challenges. Improving communication of schedules and establishing clear resident tasks at each site helped address these issues. The findings demonstrate that community sites value involvement of pediatric residents, while also identifying opportunities to enhance the experience for all parties.
This document summarizes Oregon's Strategic Plan for Genetics and Public Health from November 2002. The plan was developed with support from federal grants to improve Oregon's genetic health care system and resources. Key findings from an assessment included a need to increase public health capacity for genetics, collect more genetic health data, enhance public understanding of genetics, and integrate genetics into routine health care. The strategic plan outlines six strategies and objectives to build infrastructure, improve genetic data collection, educate the public, promote integrating genetics in health care, improve access to services, and develop genetic policies.
F e a t u r eGetting on Target with CommunityHealth Advi.docxmydrynan
The GOTCHA project aimed to address health disparities in rural Mississippi through a community-based participatory research (CBPR) approach using community health advisors (CHAs). An interdisciplinary team developed an innovative CHA training curriculum in response to identified needs from community discussions. The training included a 35-hour core skills component to equip CHAs with comprehensive outreach skills, followed by disease-specific modules. The training employed popular education techniques grounded in adult learning theory to raise consciousness and empower community members for social change. The goal was to transform community health through grassroots efforts led by indigenous CHAs.
Running Head COMMUNITY STRATEGIC PLAN 1COMMUNITY STRATE.docxsusanschei
Running Head: COMMUNITY STRATEGIC PLAN
1
COMMUNITY STRATEGIC PLAN
6
Community Strategic Plan
Student’s Name
University Affiliation
Community Strategic Plan
Introduction
For care provision to be effective in the nursing field today, people are turning more towards the provision of community-based care (Lundy, Janes & Lundy, 2016). This requires one to clearly understand the specific care needs of the community to come up with programs to meet these needs. In the paper, we are going to identify a focus area I could work on in my community, the various health risks they can are vulnerable to and how to carry out a community assessment on my focus area.
Identify an area of focus in community health within your own community.
The health area that I would be highly interested in my community is lifestyle improvement. Lifestyle diseases have become a major health concern in my community since we have recording a great number of diseases such as child and adult obesity, diabetes and gout among many other lifestyle diseases. The main cause of this is making wrong lifestyle choices. My interest in this area is to help provide education to the community on lifestyle choices and what they ought to avoid and therefore help reduce the number of lifestyle diseases being recorded and also ensure that they are able to access healthy food choices.
Using Gordon’s Functional Health Patterns framework (p. 130 in your e-text), assess the health risks in your community.
· Health perception-health management pattern: Individuals in the community have not embraced primary care interventions. They often seek medical care when they have already contacted diseases or when a disease is already in its chronic stages making management harder.
· Nutritional-metabolic pattern: Individuals are at higher risk of lifestyle disease due to the pattern of fast food consumption. The presence of so many fast foods joints has encouraged this behavior especially for the children
· Elimination pattern: No Information
· Activity-exercise pattern: Individuals are actively involved in recreation activities but have very poor physical exercise patterns. This paired with the consumption of fast food such as burgers has led to increase in obesity rates.
· Sleep-rest pattern: The community can be commended for their good sleep patterns people are found resting or asleep early enough, and this enables them to get adequate hours of sleep.
· Cognitive-perceptual pattern: Individuals in the community have good Cognitive-perceptual patterns, and this is evident through proper language development as well as memory.
· Self-perception–self-concept pattern: The concept of self-esteem is slowly falling for individuals in the community. This is as a result of lifestyle diseases such as obesity which people are experiencing right from a young age. This leads to the formation of negative attitudes towards self.
· Roles-relationships pattern: The family relationships are ...
1. The document discusses the concept of culture and healthcare. It defines culture and explains how cultural norms can impact a person's health beliefs and behaviors.
2. Embracing cultural competence in healthcare can improve quality of care by helping providers understand patient values and beliefs. Awareness of cultural factors is important for developing effective health communication strategies.
3. Analyzing one's own cultural influences is a first step for healthcare providers to improve cultural sensitivity when working with diverse populations.
In July 2014, experts from public, private and research sectors met at the Rockefeller Foundation's "Planetary Health" summit to explore ways to better value ecosystems today to ensure their healthy existence tomorrow.
This document discusses behavior change models that can guide patient engagement programs. It compares individual models like the Health Belief Model and Theory of Planned Behavior, which focus on personal beliefs and intentions, versus ecological models that consider environmental influences. It also examines the Chronic Care Model, which informs chronic illness management by addressing multiple levels of the healthcare system. Comparing these theories can help design effective interventions that encourage behavior change and patient participation in their own care.
Out There The Ecology of Addiction in Drug Abuse Treat.docxAASTHA76
"Out There": The Ecology of Addiction in Drug Abuse Treatment Discourse
Author(s): Darin Weinberg
Source: Social Problems, Vol. 47, No. 4 (Nov., 2000), pp. 606-621
Published by: Oxford University Press on behalf of the Society for the Study of Social
Problems
Stable URL: https://www.jstor.org/stable/3097137
Accessed: 24-02-2019 00:25 UTC
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"Out There": The Ecology of Addiction in
Drug Abuse Treatment Discourse
DARIN WEINBERG, University of Cambridge, UK
A growing trend in social research concerning illicit drug use has entailed suspending regard for conven-
tional questions such as the etiology of drug problems and the outcomes achieved by assorted interventions in
favor of focusing analytic attention on how drug problems are socially constructed in and through human
praxis. In this paper, I use a constructionist approach to demonstrate and explain endogenous accounts of what I
am calling the ecology of addiction in drug abuse treatment discourse. These accounts posit a space "out there"
marked by its degradation, dirtiness, solitude, and savagery which commonly tempts those who must live there
to also behave amorally, licentiously, and/or savagely I explain these accounts by showing their fundamental
utility in light of specific conceptual puzzles that participants in drug abuse treatment discourse must inevitably
solve. Namely, speaking in terms of this ecology of addiction provides participants with a compelling narrative
means for reconcilzng the following two claims: 1) they are chronically prone to enslavement by their addictions,
and 2) their addictions can be controlled through ongoing participation in a communal project of mutual help
Over the course of the nineteenth and twentieth centuries, there emerged a fairly coher-
ent discourse regarding both the clinical characteristics of drug addiction and the appropriate
methods for its treatment (Baumohl and Room 1987; Levine 1978; Schneider 1978). Origi-
nally, medical professionals like Benjamin Rush were prominent among those who claimed
addiction was not so much a moral failing as a medical condition that demanded medical treat-
ment. However, despite their claims-making successes, medical professionals have .
This document summarizes a case study conducted by the Los Angeles County Department of Health Services (DHS) to increase health care access for Mesoamerican people living in Los Angeles. It describes a partnership between DHS and a community clinic, Clinica Monseñor Oscar Romero (CMOR), to launch a Mesoamerican Research and Intervention Project. The project provided clinical services in indigenous languages, researched the health and socioeconomic needs of the Mesoamerican community, and developed culturally appropriate health interventions. As a result of this project, CMOR saw over a 1033% increase in Mesoamerican patients served, generating a 1177% return on DHS's initial investment. The
The document introduces the "Health Field Concept" which provides a framework for analyzing and understanding the health field by dividing it into four main elements: human biology, environment, lifestyle, and health care organization. These elements were identified by examining the causes of sickness and death in Canada. The concept aims to organize the many different pieces of the health field into a simple and logical pattern to help analyze health problems and determine where to focus efforts to improve health outcomes. It also shifts focus to the three elements of human biology, environment, and lifestyle - which are the main underlying causes of current health issues - rather than just focusing on the healthcare system.
This document describes the development of a Community Liaising Program (CLP) in Los Angeles County. The CLP was created in response to budget deficits and workforce reductions to improve population health through community partnerships rather than medical interventions alone. It established six strategic domains to create alliances and agreements between public, private, and nonprofit groups. Through over 60 initiatives, the CLP changed informal relations into effective partnerships to address unmet community health needs. The program was recognized for improving public health approaches. It was later institutionalized across Los Angeles County's health departments to mobilize diverse sectors in health promotion through community liaisons.
Brandis M
YOU MATTER.
FAMILY MATTERS.
SECCION 1
Population: Divorce or Separated adults
Timing: 45-60 Minutes
Group size: 6-8 individuals
Materials: Pen, & Poem sheet, paper
START: EXPLAINING WHAT MENTAL HEALTH IS AND WHAT THE GOAL OF THE GROUP. 2 sentences of guidelines.
GOALS:
Introduce the concept of healthy relationships
· INTRODUCTION OF MYSELF
· INTRO OF MEMBERS
· INTRO ACTIVITY: READ POEM “THIS WAS ONCE A LOVE POEM” BY JANE HIRSHFIELD
This was once a love poem,
before its haunches thickened, its breath grew short,
before it found itself sitting,
perplexed and a little embarrassed,
on the fender of a parked car,
while many people passed by without turning their heads.
It remembers itself dressing as if for a great engagement.
It remembers choosing these shoes,
this scarf or tie.
Steps:
1. Hand everyone the poem. Have them read it. After, hand them a piece of paper, and ask them to write one word of the poem or in general that describes how they’re feeling.
2. Explain what the purpose of the poem is. Have everyone show and talk about what they wrote on the piece of paper. Validate their feelings. Re-Explain the purpose of the group.
Questions to consider:
1. What is love?
2. Define healthy, unhealthy, and abusive. Define a healthy/unhealthy relationship
3. What are your expectations in future relationships?
SECCION 2
Population: Divorce or Separated adults
Timing: 45-60 Minutes
Group size: 6-8 individuals
Materials: Activity paper, pen
START:
· EXPLAIN THE GOALS OF THE SECCION.
· ACTIVITY: START OFF WITH MOOD METER ACTIVITY.
Steps:
1. Define family. What does family mean to you?
2. Members will complete form (shorter version of course) of https://www.thebalancedlifellc.com/images/forms/Couples-Counseling-Initial-Intake-Form.pdf
3. Discuss with the members their answers. Get to know each other deeper.
Questions:
1.
Running head: GOALS AND OUTCOMES IN CONTEXT 1
GOALS AND OUTCOMES IN CONTEXT 4
WEEK3 PART 1
Goals and Outcomes in Context
Student Name
Institutional Affiliation
Course
Date
Goals and Outcomes in Context
The health need identified is the lack of access to healthcare in a systematic and preventive way by Riverbend City citizens. Access to healthcare is a glaring concern in the neighborhood. One qualitative theme from the interview is the problematic access to preventative healthcare. It shows that lack of access to healthcare is a problem since very few people feel like they have access to healthcare, especially preventive healthcare. The problem affects the people who work and those who do not. Some of the top concerns regarding preventive healthcare are the lack of sufficient programs and resources for obesity prevention and chronic disease. The other qualitative theme from the interview is structural barriers that impede individuals' access to long-term medical care. It indicates the need for the city to empower organizations ...
Mark Dubois: Linking Health and Environment - A People Centred EcologySTEPS Centre
Presentation at the STEPS Conference 2010 - Pathways to Sustainability: Agendas for a new politics of environment, development and social justice
http://www.steps-centre.org/events/stepsconference2010.html
NACCHO Abstract for 2016 Annual ConferenceMegan Jourdan
The document describes a collaborative project between two county health departments to assess barriers to healthy food access in 19 "food deserts" across the counties. Community members, farmers, decision-makers and food assistance agencies provided input through focus groups, surveys and interviews. This identified perceived barriers, assets and preferred solutions. A cross-county committee now plans regional solutions to maximize resources. The presentation will discuss the assessment methodology, partnership strategies, results and lessons learned from collaborating across county lines to address food insecurity.
This document summarizes a workshop on bridging public health and urban forestry. It discusses how trees and green space can impact health outcomes related to air quality, water management, energy use, and physical activity. A research project called Green Rx studied associations between urban tree canopy cover and health issues using survey and GIS data. Preliminary results found relationships between trees and conditions like ADHD, BMI, diabetes, and blood pressure. The workshop recommends partnerships between tree organizations and public health groups to further leverage urban greening for community health.
2Gender and Wildlife and Biodiversity ProjectsNancy Drost
This document provides guidance on mainstreaming gender equality in conservation projects related to wildlife and biodiversity. It discusses integrating gender analysis into each stage of the project cycle, including problem identification, project design, implementation, monitoring, and evaluation. Specifically, it outlines key gender issues related to wildlife and biodiversity conservation in Ghana, such as women's lack of land ownership and access. It also provides examples of how to design project activities and intended outcomes using a logic model framework to promote gender equality and women's empowerment.
The document provides a media plan for interpretive signs and materials at the USGS Upper Midwest Environmental Sciences Center. It includes a planning triangle outlining the mission, audience, and resources. There are conceptual designs for trail signs covering the sand prairie, savanna prairie, oak savanna, floodplain forest, and outdoor classroom. The designs aim to educate visitors on the importance of these ecosystems and their relationship to human and animal life.
Communicating risks and benefits an evidence based user's guideDr Lendy Spires
This document provides acknowledgements for contributors to the guide "Communicating Risks and Benefits: An Evidence-Based User’s Guide". It thanks Nancy Ostrove and Lee Zwanziger from the FDA for their support in developing the guide. It also thanks Nancy Derr, Elena Ketelhut and the guide's authors and reviewers for their work. Permission is acknowledged from various publishers to reuse figures. The guide aims to make the risk communication research literature more accessible and applicable to practitioners.
Application Access to Quality Health Care for Vulnerable Population.docxhirstcruz
Application: Access to Quality Health Care for Vulnerable Populations
Access to quality health care for disparate populations is a critical challenge for today's health care organizations and for the health care system as a whole. In this Application Assignment, you will describe the advantages and challenges facing the health care system in providing equal access to quality health care.
To prepare
for this Application Assignment, consider how health care is delivered to populations who are sometimes affected by the
Healthy People assigned focus area
you were previously assigned.
To complete
this Application Assignment,
write a
2- to 3-page paper
(essay style) that addresses the following:
What two obstacles confront vulnerable/underserved populations when they attempt to obtain quality health care
Healthy People assigned focus area
(e.g., a prevention program, screening program, diagnosis, treatment, and rehabilitation)? Be specific.
Name and describe
two
intervention programs that have addressed these obstacles (e.g., prevention, screening, diagnosis, treatment, and rehabilitation). You can find examples of these on the internet or by searching the library databases (CINAHL). Try searching with your Healthy People area (i.e. obestiy; heart disease) as a key term as well as the word "intervention" or "program"). You may also try looking at professional organizations that address that health issue. For example, the American Diabetes Association sponsors a program called "Project Power" which addresses diabetes type 2 among African Americans—specifically for church settings.
In your paper, summarize the programs by including the following:
The name of the program
The type of program (hospital based; for churches; online program, etc.)
Who has implemented the program (researchers, professional group, university, state, etc.) and where was it implemented:
For example, training programs are sometimes offered by commercial businesses and programs or activities are sometimes sponsored by federal government or professional organizations.
The types of services the program provides
How the program has addressed disparities
The achievements of the program
Does it address the issue of culture? How so?
Is there any evidence that it has been successful?
Your written assignments must follow APA guidelines (6th edition). Be sure to support your work with specific citations from this week's Learning Resources and additional scholarly sources as appropriate. Refer to the
Essential Guide to APA Style for Walden Students
to ensure that your in-text citations and reference list are correct. Also, since this is one of your only applications, you may want to submit this to a Walden Writing Center tutor first as well as run it through Turnitin.com prior to submission.
Learning Resources
Required Resources
Media
Video:
Laureate Education, Inc. (Executive Producer). (2009).
Behavioral and cultural issues in health care:
Health care disparities.
Baltimo.
Running Head ENVIRONMENTAL HEALTH1ENVIRONMENTAL HEALTH8.docxtodd271
Running Head: ENVIRONMENTAL HEALTH 1
ENVIRONMENTAL HEALTH 8
Environmental Health
Student Name: Kusum Syangbo
Instructor Name: Elizabeth Wachira
Course no: HHPH- 382-01W
Date: April 5, 2020
Texas A&M University, Commerce
Abstract
Environmental health is both a public health and social justice issue. This paper will describe how environmental health is both a public health and social injustice issue and some of the environmental injustices in the United States. It will also explain the functions of environmental health movements in the US. Finally, the paper will describe some of the intervention opportunities in curbing environmental injustices including health education, advocacy, policy, leadership opportunities, and community focus and give my future leadership role as far as environmental health is concerned.
Keywords
Environmental health, public health, social injustice, minority groups
Section 1: Topic Description
The topic that I chose is Environmental Health. This topic is a public health issue because the environment in which we live in shapes our health every moment of every day. Our health can be affected by what we eat, where we live, and how we interact with the world around us. That is where environmental health professionals, programs and policies, all come into play. Environmental health is a large field in public health because of the numerous ways exterior factors can impact how we live, grow and, even eat. These factors concern how we address our natural environment like sanitation and clean water, but they are also the consequences of our actions as human beings (Krometis et al, 2017).
Environmental Health is also a social justice issue because all the conversations about protecting habitats, mitigating climate change and recycling are not just about saving and protecting the earth, they are more about the struggle for protecting and providing basic human rights to good health. Every human being is entitled to quality air, clean water, and sanitation (Marmot, 2017).
Section 2: Social Injustice
Two Environmental Social Injustices
One major environmental social injustice is the disproportional placing of dangerous waste amenities in poor and largely ethnic and racial minority localities. Research shows that there are ethnic and racial discrepancies in the locations of dangerous waste across the United States. As a result of these injustices people living in such an environment have developed diseases like cancer.
Another social injustice is the environmental influence on healthy eating, physical activity, and obesity in ethnic and racial minority communities with low income. The principal concern here is the deprivation amplification such that in locations where have little individual resources, the local amenities that help people to live healthily, are poorer than those in non-socially and non-impoverished deprived places. Research has shown that t.
This study explored community site administrators' perspectives on pediatric resident training at their centers. Administrators from 16 community sites responded to a survey. They consistently indicated that resident rotations increased awareness of the services their sites provide. Administrators and families also benefited from the exchange of medical knowledge with residents. However, complex scheduling presented organizational challenges. Improving communication of schedules and establishing clear resident tasks at each site helped address these issues. The findings demonstrate that community sites value involvement of pediatric residents, while also identifying opportunities to enhance the experience for all parties.
This document summarizes Oregon's Strategic Plan for Genetics and Public Health from November 2002. The plan was developed with support from federal grants to improve Oregon's genetic health care system and resources. Key findings from an assessment included a need to increase public health capacity for genetics, collect more genetic health data, enhance public understanding of genetics, and integrate genetics into routine health care. The strategic plan outlines six strategies and objectives to build infrastructure, improve genetic data collection, educate the public, promote integrating genetics in health care, improve access to services, and develop genetic policies.
F e a t u r eGetting on Target with CommunityHealth Advi.docxmydrynan
The GOTCHA project aimed to address health disparities in rural Mississippi through a community-based participatory research (CBPR) approach using community health advisors (CHAs). An interdisciplinary team developed an innovative CHA training curriculum in response to identified needs from community discussions. The training included a 35-hour core skills component to equip CHAs with comprehensive outreach skills, followed by disease-specific modules. The training employed popular education techniques grounded in adult learning theory to raise consciousness and empower community members for social change. The goal was to transform community health through grassroots efforts led by indigenous CHAs.
Running Head COMMUNITY STRATEGIC PLAN 1COMMUNITY STRATE.docxsusanschei
Running Head: COMMUNITY STRATEGIC PLAN
1
COMMUNITY STRATEGIC PLAN
6
Community Strategic Plan
Student’s Name
University Affiliation
Community Strategic Plan
Introduction
For care provision to be effective in the nursing field today, people are turning more towards the provision of community-based care (Lundy, Janes & Lundy, 2016). This requires one to clearly understand the specific care needs of the community to come up with programs to meet these needs. In the paper, we are going to identify a focus area I could work on in my community, the various health risks they can are vulnerable to and how to carry out a community assessment on my focus area.
Identify an area of focus in community health within your own community.
The health area that I would be highly interested in my community is lifestyle improvement. Lifestyle diseases have become a major health concern in my community since we have recording a great number of diseases such as child and adult obesity, diabetes and gout among many other lifestyle diseases. The main cause of this is making wrong lifestyle choices. My interest in this area is to help provide education to the community on lifestyle choices and what they ought to avoid and therefore help reduce the number of lifestyle diseases being recorded and also ensure that they are able to access healthy food choices.
Using Gordon’s Functional Health Patterns framework (p. 130 in your e-text), assess the health risks in your community.
· Health perception-health management pattern: Individuals in the community have not embraced primary care interventions. They often seek medical care when they have already contacted diseases or when a disease is already in its chronic stages making management harder.
· Nutritional-metabolic pattern: Individuals are at higher risk of lifestyle disease due to the pattern of fast food consumption. The presence of so many fast foods joints has encouraged this behavior especially for the children
· Elimination pattern: No Information
· Activity-exercise pattern: Individuals are actively involved in recreation activities but have very poor physical exercise patterns. This paired with the consumption of fast food such as burgers has led to increase in obesity rates.
· Sleep-rest pattern: The community can be commended for their good sleep patterns people are found resting or asleep early enough, and this enables them to get adequate hours of sleep.
· Cognitive-perceptual pattern: Individuals in the community have good Cognitive-perceptual patterns, and this is evident through proper language development as well as memory.
· Self-perception–self-concept pattern: The concept of self-esteem is slowly falling for individuals in the community. This is as a result of lifestyle diseases such as obesity which people are experiencing right from a young age. This leads to the formation of negative attitudes towards self.
· Roles-relationships pattern: The family relationships are ...
1. The document discusses the concept of culture and healthcare. It defines culture and explains how cultural norms can impact a person's health beliefs and behaviors.
2. Embracing cultural competence in healthcare can improve quality of care by helping providers understand patient values and beliefs. Awareness of cultural factors is important for developing effective health communication strategies.
3. Analyzing one's own cultural influences is a first step for healthcare providers to improve cultural sensitivity when working with diverse populations.
In July 2014, experts from public, private and research sectors met at the Rockefeller Foundation's "Planetary Health" summit to explore ways to better value ecosystems today to ensure their healthy existence tomorrow.
This document discusses behavior change models that can guide patient engagement programs. It compares individual models like the Health Belief Model and Theory of Planned Behavior, which focus on personal beliefs and intentions, versus ecological models that consider environmental influences. It also examines the Chronic Care Model, which informs chronic illness management by addressing multiple levels of the healthcare system. Comparing these theories can help design effective interventions that encourage behavior change and patient participation in their own care.
Out There The Ecology of Addiction in Drug Abuse Treat.docxAASTHA76
"Out There": The Ecology of Addiction in Drug Abuse Treatment Discourse
Author(s): Darin Weinberg
Source: Social Problems, Vol. 47, No. 4 (Nov., 2000), pp. 606-621
Published by: Oxford University Press on behalf of the Society for the Study of Social
Problems
Stable URL: https://www.jstor.org/stable/3097137
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"Out There": The Ecology of Addiction in
Drug Abuse Treatment Discourse
DARIN WEINBERG, University of Cambridge, UK
A growing trend in social research concerning illicit drug use has entailed suspending regard for conven-
tional questions such as the etiology of drug problems and the outcomes achieved by assorted interventions in
favor of focusing analytic attention on how drug problems are socially constructed in and through human
praxis. In this paper, I use a constructionist approach to demonstrate and explain endogenous accounts of what I
am calling the ecology of addiction in drug abuse treatment discourse. These accounts posit a space "out there"
marked by its degradation, dirtiness, solitude, and savagery which commonly tempts those who must live there
to also behave amorally, licentiously, and/or savagely I explain these accounts by showing their fundamental
utility in light of specific conceptual puzzles that participants in drug abuse treatment discourse must inevitably
solve. Namely, speaking in terms of this ecology of addiction provides participants with a compelling narrative
means for reconcilzng the following two claims: 1) they are chronically prone to enslavement by their addictions,
and 2) their addictions can be controlled through ongoing participation in a communal project of mutual help
Over the course of the nineteenth and twentieth centuries, there emerged a fairly coher-
ent discourse regarding both the clinical characteristics of drug addiction and the appropriate
methods for its treatment (Baumohl and Room 1987; Levine 1978; Schneider 1978). Origi-
nally, medical professionals like Benjamin Rush were prominent among those who claimed
addiction was not so much a moral failing as a medical condition that demanded medical treat-
ment. However, despite their claims-making successes, medical professionals have .
This document summarizes a case study conducted by the Los Angeles County Department of Health Services (DHS) to increase health care access for Mesoamerican people living in Los Angeles. It describes a partnership between DHS and a community clinic, Clinica Monseñor Oscar Romero (CMOR), to launch a Mesoamerican Research and Intervention Project. The project provided clinical services in indigenous languages, researched the health and socioeconomic needs of the Mesoamerican community, and developed culturally appropriate health interventions. As a result of this project, CMOR saw over a 1033% increase in Mesoamerican patients served, generating a 1177% return on DHS's initial investment. The
The document introduces the "Health Field Concept" which provides a framework for analyzing and understanding the health field by dividing it into four main elements: human biology, environment, lifestyle, and health care organization. These elements were identified by examining the causes of sickness and death in Canada. The concept aims to organize the many different pieces of the health field into a simple and logical pattern to help analyze health problems and determine where to focus efforts to improve health outcomes. It also shifts focus to the three elements of human biology, environment, and lifestyle - which are the main underlying causes of current health issues - rather than just focusing on the healthcare system.
This document describes the development of a Community Liaising Program (CLP) in Los Angeles County. The CLP was created in response to budget deficits and workforce reductions to improve population health through community partnerships rather than medical interventions alone. It established six strategic domains to create alliances and agreements between public, private, and nonprofit groups. Through over 60 initiatives, the CLP changed informal relations into effective partnerships to address unmet community health needs. The program was recognized for improving public health approaches. It was later institutionalized across Los Angeles County's health departments to mobilize diverse sectors in health promotion through community liaisons.
Brandis M
YOU MATTER.
FAMILY MATTERS.
SECCION 1
Population: Divorce or Separated adults
Timing: 45-60 Minutes
Group size: 6-8 individuals
Materials: Pen, & Poem sheet, paper
START: EXPLAINING WHAT MENTAL HEALTH IS AND WHAT THE GOAL OF THE GROUP. 2 sentences of guidelines.
GOALS:
Introduce the concept of healthy relationships
· INTRODUCTION OF MYSELF
· INTRO OF MEMBERS
· INTRO ACTIVITY: READ POEM “THIS WAS ONCE A LOVE POEM” BY JANE HIRSHFIELD
This was once a love poem,
before its haunches thickened, its breath grew short,
before it found itself sitting,
perplexed and a little embarrassed,
on the fender of a parked car,
while many people passed by without turning their heads.
It remembers itself dressing as if for a great engagement.
It remembers choosing these shoes,
this scarf or tie.
Steps:
1. Hand everyone the poem. Have them read it. After, hand them a piece of paper, and ask them to write one word of the poem or in general that describes how they’re feeling.
2. Explain what the purpose of the poem is. Have everyone show and talk about what they wrote on the piece of paper. Validate their feelings. Re-Explain the purpose of the group.
Questions to consider:
1. What is love?
2. Define healthy, unhealthy, and abusive. Define a healthy/unhealthy relationship
3. What are your expectations in future relationships?
SECCION 2
Population: Divorce or Separated adults
Timing: 45-60 Minutes
Group size: 6-8 individuals
Materials: Activity paper, pen
START:
· EXPLAIN THE GOALS OF THE SECCION.
· ACTIVITY: START OFF WITH MOOD METER ACTIVITY.
Steps:
1. Define family. What does family mean to you?
2. Members will complete form (shorter version of course) of https://www.thebalancedlifellc.com/images/forms/Couples-Counseling-Initial-Intake-Form.pdf
3. Discuss with the members their answers. Get to know each other deeper.
Questions:
1.
Running head: GOALS AND OUTCOMES IN CONTEXT 1
GOALS AND OUTCOMES IN CONTEXT 4
WEEK3 PART 1
Goals and Outcomes in Context
Student Name
Institutional Affiliation
Course
Date
Goals and Outcomes in Context
The health need identified is the lack of access to healthcare in a systematic and preventive way by Riverbend City citizens. Access to healthcare is a glaring concern in the neighborhood. One qualitative theme from the interview is the problematic access to preventative healthcare. It shows that lack of access to healthcare is a problem since very few people feel like they have access to healthcare, especially preventive healthcare. The problem affects the people who work and those who do not. Some of the top concerns regarding preventive healthcare are the lack of sufficient programs and resources for obesity prevention and chronic disease. The other qualitative theme from the interview is structural barriers that impede individuals' access to long-term medical care. It indicates the need for the city to empower organizations ...
Mark Dubois: Linking Health and Environment - A People Centred EcologySTEPS Centre
Presentation at the STEPS Conference 2010 - Pathways to Sustainability: Agendas for a new politics of environment, development and social justice
http://www.steps-centre.org/events/stepsconference2010.html
NACCHO Abstract for 2016 Annual ConferenceMegan Jourdan
The document describes a collaborative project between two county health departments to assess barriers to healthy food access in 19 "food deserts" across the counties. Community members, farmers, decision-makers and food assistance agencies provided input through focus groups, surveys and interviews. This identified perceived barriers, assets and preferred solutions. A cross-county committee now plans regional solutions to maximize resources. The presentation will discuss the assessment methodology, partnership strategies, results and lessons learned from collaborating across county lines to address food insecurity.
This document summarizes a workshop on bridging public health and urban forestry. It discusses how trees and green space can impact health outcomes related to air quality, water management, energy use, and physical activity. A research project called Green Rx studied associations between urban tree canopy cover and health issues using survey and GIS data. Preliminary results found relationships between trees and conditions like ADHD, BMI, diabetes, and blood pressure. The workshop recommends partnerships between tree organizations and public health groups to further leverage urban greening for community health.
2Gender and Wildlife and Biodiversity ProjectsNancy Drost
This document provides guidance on mainstreaming gender equality in conservation projects related to wildlife and biodiversity. It discusses integrating gender analysis into each stage of the project cycle, including problem identification, project design, implementation, monitoring, and evaluation. Specifically, it outlines key gender issues related to wildlife and biodiversity conservation in Ghana, such as women's lack of land ownership and access. It also provides examples of how to design project activities and intended outcomes using a logic model framework to promote gender equality and women's empowerment.
1. The design of this retreat master plan project
caters to a specific, overlooked age group
of cancer patients going through treatment
or post treatment. The project incorporates
design methods and characteristics of resorts,
cancer retreats, and therapeutic design into the
design along with celebrating the site history to
support the physical and psychological needs
of this particular group. This retreat provides
an escape while fostering a community, thus
providing the proper support these individuals
require. Research on therapeutic and evidence
based design created the basis for this project
of capitalizing on nature to utilize the healing
and health benefits exposure to nature
provides. Four goals; (1) providing access to
nature, (2) providing a community and support
system, (3) meeting the patients’ physical and
psychological needs, and (4) connecting to the
site history while creating a sense of place,
were created each with the focus of capitalizing
on nature.
Cancer is increasing in prevalence and is
“now the second leading cause of death in
the United States accounting for 1 in every 4
deaths with 1,660,290 new cases expected
to be diagnosed this year” (American Cancer
Society). Individuals suffering from this
illness deal with symptoms, both physical
and psychological, along with other hardships
that need to be addressed especially in future
designs. The age group chosen, 20-60, is very
overlooked in this regard with facilities typically
focused on youth or elderly populations.
This age group has needs that are not being
met, a major one being provided an escape
from their hectic lifestyle and stress. Along
with not having places designed for this age
group, those that are available are still within
the hospital realm not fully separating these
individuals from what is directly related to their
illness and these causes of stress. This project
designed such a place and paired this escape
with the benefits exposure to nature provides.
The site chosen for the project is the Abe
Martin Lodge within Brown County State Park
in Indiana. Inventory and analysis of the 128
acre site brought to light current structures’
potential for refacilitation into medical and
therapy facilities, locations of prime views
out to the surrounding landscape and nature,
current water movement patterns and potential
design connections, as well as possible
accessibility limitations due to the site’s slope
percentages. The site’s topography and its tie
to patient accessibility lead to the creation of
three programs based on the slope percentages
0-5%, 5-10%, and 10-20%. Each program
looked at physical characteristics of the site
and patients, along with their needs that would
be able to occur within that slope percentage.
The program then branched off from physical
attributes looking at psychological needs, both
social and individual, that could occur within
that zone as well.
The 23 acre area around the lodge that
includes the cabin clusters was then focused
on to gain more detail. For this area four
concepts; (1)water, (2)movement and
wayfinding, (3)visual access and natural
exposure, and (4)stress, each a therapeutic
element or design concept, were done. Each
concept was chosen to connect and meet each
of the four goals. Ideal aspects of each one
were taken and combined into a final concept.
In order to show how the design was meeting
each goal, however, the final concept was
divided into layers based on characteristics that
were meeting each goal. Then each of these
layers was analyzed and the area within each
that was meeting that goal best was located.
The area determined was the southern 8 acre
half of the site and thus was further designed
in a master plan.
The master plan was broken into three design
areas based on meeting a goal and designed
in more detail; (1)community area focused
on community building and socialization, (2)
terrace area focused on maximizing exposure
to nature and providing access, and (3)therapy
area focused on meeting patient needs and
stress relief. An area within the master plan
was separately designed further through
a grading plan and diagrams to show the
design’s focus on accessibility and wayfinding
as well as seasonal and sensory charts to show
the design’s focus to connect to the site and
provide sensory stimulation for symptom relief
through plantings.
Overall this project took in-depth research
paired with design thinking to fuse resort
and retreat characteristics with therapeutic
elements to meet the dynamic needs of a
specific population. In turn a community and
support system was fostered, connecting
to the site and its history, while maximizing
exposure to nature to gain the health benefits
it provides.
Problem &
Significance
Project Title: Cancer Directing Design: Incorporating Patient Needs in Design Solutions
Project Location: Brown County State Park, Indiana
Project Type: Therapeutic retreat
3. family cabins
abe martin lodge
cabins
cabins
cabins
cabins
Lodge Location
cabins
The site is 128 acres, bounded by major
surrounding valleys, located at the Abe Martin
Lodge within Brown County State Park near
the north entrance. The park is located in the
southern half of the Indiana near Nashville,
Indiana.
The Setting, Context, &
Site
PATIENTS
Social Interaction
Patients Needs
Access to Nature
Connection
Community/
Support System
Health Benefits
History/Sense
of Place
Physical
Psychological
Patients Needs
Physical
Psychological
Fatigue
Sun/Odor Sensitivity
Confusion
Pain
Nausea
Stress/Anxiety
Sense of Loss
Lack of Control
Social Support
Depression
Spiritual/Emotional
Project Goals
6. Zone1:0-5%Zone2:5-10%Zone3:10-20%
assistance
fatigue/weakness
nausea/pain
sun/odor
low mobility
resting
therapy
light exercise
viewing nature
sensory
no fragrances
varying group size
classes
very flat
0-5% slopes
views down/water
adjacent buildings/
medical facilities
views from buildings
clear entry points
ramps at entries
no stairs/smooth
wayfinding
views
golf cart access
access to sun/shade
shelter
stress
flexibility
emotional/spiritual
confusion
contemplation
education
meditation
expression
private/public
clear layout
views/buffers
support
social interaction
flexibility
expression
group therapy
education
conversation
comm area
seating
group sizes
classes
little assistance
some fatigue
nausea/less pain
sun/odor
medium mobility
resting options
therapy
exercise
viewing nature
sensory
distance walking
some fragrances
varying group size
classes
flat - sloped
5-10% slopes
views down/water
within 3-5 min walk
to lodge/cabins/
medical facilities
clear entry points
ramps at entries
some stairs/smooth
discovery aspect
views
golf cart access
access to sun/shade
shelter
stress
flexibility
emotional/spiritual
less confusion
contemplation
education
meditation
expression
private/public
clear layout
views/buffers
support
social interaction
flexibility
expression
group therapy
education
conversation
comm area
seating
group sizes
classes
no physical
limitations
nausea
sun/odor
high mobility
resting
therapy
difficult exercise
park activities
sensory
some fragrances
varying group size
classes
hilly
10-20% slopes
views down/water
within 5 min walking
distance or greater
outer edge of design
clear entry points
ramps at entries
stairs
discovery aspect
views
parks/trails
access to sun/shade
shelter
stress
flexibility
emotional/spiritual
no confusion
contemplation
education
meditation
expression
private/public
clear layout
views/buffers
support
social interaction
flexibility
expression
group therapy
education
conversation
comm area
seating
group sizes
classes
7. Movement/Wayfinding
WaterVisual Access/Nature Exposure
Stress
goals
concepts
Connection Between
Goals & Concepts
As mentioned four goals based on this
patient group were made. Design concepts
were thought of that would directly relate
to meeting a goal while connecting to a key
therapeutic design element that would help
meet this patient group’s needs.
8. needs socialization
access to nature connection
needs
socialization
access to nature
connection
Final Concept Goal Layers
Master Plan Concept & Meeting
Goals
The final concept was broken into layers
based on goals to confirm each was being met.
The area within these layers that best met
that goal was located. This southern half of the
design was thus focused on.
9. trees
prairie
woods edge/sun
woodland
Senses & Site Connection
Native Plants
Native Indiana plants were chosen,
connecting to the site. Each provides seasonal
interest or habitat, connecting to one of
the senses. Sensory stimulation relieves
symptoms, provides distraction, and increases
natural exposure. Lastly plants were used for
wayfinding to guide patients.
Native Plant Zones
10. Plant Sensory Stimulation Charts
winter
fall summer
spring
sensehabitat
winter
fall summer
spring
sensehabitat
winter
fall summer
spring
sensehabitat
perennials
trees/shrubs
grass/groundcovers
11. 2 mph ~ 880’
3
m
ph ~ .25 miles (1320’)
1
mph ~ 440’
1/2
m
ph ~ 220
’
average walker
patient walker
wheelchair/
IV walker
Access & Walking
Distances
Physical abilities of average visitors, patients,
and those in wheelchairs or with IVs were
looked at and their walking distances at
different speeds within a 5 minute period were
compared showing aspects and experiences on
site that each would experience.
Access & Wayfinding
Elements
Physical accessibility was looked at, linking
route type to accessibility level. Routes were
paired with views and wayfinding. Primary
views lead patients through major areas and
wayfinding elements are placed at major points
of decision making and along primary routes.
wayfinders
visual access
access routes
natural access
base
natural
signage
nature
tertiary
secondary
primary
most accessible
accessible
least accessible
primary route
secondary route
tertiary route
12. The grading plan illustrates the intent to
increase accessibility, promoting an intuitive
layout. All slopes, routes, and steps are in
compliance with the Forest Service Outdoor
Recreation Accessibility Guidelines.
Access & Wayfinding
Grading Plan 0 60’ N
13. Terrace Area
Details
The terrace area orients toward the
surrounding natural area, using topography
to focus patients on nature. Views focus out
to nature while enhancing wayfinding allowing
patients to view down to spaces. Areas and
routes were paired with accessibility levels
also.
Terrace Area Spaces & Dimensions
15. Community Area
Details
The community area focuses on providing
choice in socialization to meet patient
preferences. Choices are provided in routes/
seating with the option of being in sun or
shade. A layer over this is enhancing exposure
to nature with greenspace interwoven within.
Community Area Spaces & Dimensions
16. seating
shade areas
main route
water
secondary route
natural wayfinder
signage
entry plaza
deck
community area
semi private
community area
prairie
Community Design Areas
Seating & Wayfinding/Routes
0 15’ N
17. Therapy Area
The therapy area provides choice in
socialization, methods of exercise while
integrating rest areas, and exposure to nature
due to its health benefits. Spaces are oriented
towards the surrounding landscape with
methods of sensory stimulation to provide
symptom relief.